Provider Demographics
NPI:1760405021
Name:WOMEN'S SPECIALTY CARE PC
Entity Type:Organization
Organization Name:WOMEN'S SPECIALTY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SLOCUMB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-744-9683
Mailing Address - Street 1:682 HEMLOCK ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-6883
Mailing Address - Country:US
Mailing Address - Phone:478-744-9683
Mailing Address - Fax:478-744-9824
Practice Address - Street 1:682 HEMLOCK ST
Practice Address - Street 2:SUITE 300
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-6883
Practice Address - Country:US
Practice Address - Phone:478-744-9683
Practice Address - Fax:478-744-9824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty